Katelyn Cornett, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

7819 Issued in TN

Practice address

65 Mouse Creek Rd NW
Cleveland, TN 37312-4840

Phone

(423) 476-7212

NPI assigned

May 23, 2024

Last updated

May 23, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Weston Group of Tennessee IncGroup PAC ID 9436377355, 20 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• The Weston Group of Tennessee Inc

  • Physical Therapist
  • Hixson, TN
  • NPI 1467866848

  Occupational Therapist

  Medicare reassignment Care Compare group NPD
• Can DO Kids Pediatric Therapy Services, LLC

  • Pediatric Occupational Therapist
  • Cleveland, TN
  • NPI 1033593785
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1716422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716422400000",
    "number": "1508605916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 POPE ST",
            "city": "ATHENS",
            "state": "TN",
            "postal_code": "373032574",
            "telephone_number": "423-453-6525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 MOUSE CREEK RD NW",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373124840",
            "telephone_number": "423-476-7212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORNETT",
        "first_name": "KATELYN",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-23",
        "last_updated": "2024-05-23",
        "certification_date": "2024-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TN",
            "license": "7819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacquelyn Marie Cooper, LADAC II
• Elizabeth Cope
• Lisa Cooper Copeland, MS CCC-SLP
• Alexander Gabriel Corey, DMD
• Kathryn Carson Corley, BEHAVIOR TECHNICIAN
• Elizabeth Ann Couillard, CRNA
• Heather Coulston
• County of Bradley County Fund (Bradley County Emergency Medical Services)
• Covenant Life Management, LLC
• Jessica Moriah Covert, ATC

• Occupational Therapist in Cleveland, TN
• Providers in Cleveland, TN by specialty
• Occupational Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.